Discrepancies in Interpretation of the Minor Salivary Gland Biopsy in the Diagnosis of Sjögren syndrome

Although the minor salivary gland biopsy(MSGB) is a major criterion for diagnosis of Sjögren syndrome(SS), multiple studies have outlined difficulties in standardization.1,2 The purpose of this study was to answer the following question: In all patients referred for MSGB, did strict application of focus scoring criteria alter the sensitivity of and predictive value of the MSGB in the diagnosis of SS when compared to the initial interpretation?

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